Your advice appreciated!
The cause (s) of reactive hypoglycemia is not clear. I have read speculation about the balance of glucagon and insulin being off. There is also a theory that epinephrine may be elevated. The issue seems to be around the fact that for whatever reason there is an imbalance between the food entering the bowel and the relative amount of the insulin and glucagon ( which can be though of anti insulin- causes increase in sugar). The stored glycogen is stored in the liver and with excessive weight loss, and inability to eat large (larger than RNY) diet, rea*****omplex carbohydrates and protein, there is no reserve of glycogen left to regulate the ups and downs of the blood sugar between meals. That is why the recommendations are for frequent small meals to avoid reactive hypoglycemia.
I am not aware of any scientific research, but my personal experience has been that patients that have had this complication for years tend to be slow with recovering from it.
Hope this helps.
Ara
I am not aware of any scientific research, but my personal experience has been that patients that have had this complication for years tend to be slow with recovering from it.
Hope this helps.
Ara
If I were you I would get a consult with Dr. Greenbaum:
David Greenbaum, MD, FACS
Email: [email protected]
David Greenbaum, MD, FACS
Email: [email protected]
Surgical Specialists of New Jersey, LLC
Rancocas Division
1000 Salem Rd., Suite A
Willingboro, NJ 08046
Phone: 609-877-1737
Email: [email protected]
I know what you mean, there are none anywhere near where I live either. I had to travel 650 miles from Southern Utah to San Francisco to get a surgeon I felt comfortable with to revise my screwed up mess.
In your case there are more DS surgeons in NY and some of them may also be able to get the job done. But Dr. Greenbaum is one of the best there is; he studied under and with the best; the Rabkins in San Francisco. I assume you've been to www.dsfacts.com and know you can find all the DS surgeons in any state there?
Knowing what I know now; it just makes me feel ill when I see so many people getting RNY. After 28 years of all the crap associated with my RNY, I seriously had forgotten what it's like to just be able to eat like a normal person. When I first got the RNY, it wasn't a big deal, I lost the weight and was thrilled about that and didn't mind all the other crap that came with the weight loss. But over time, the crap just builds and builds; it wears on you and after 10 or 15 years, I really came to despise what had been done to me.
I know I'm not telling you anything you don't already know all about. I am telling you that I understand completely and sympathize with you about having to put up with all the crap. I wish no one had to put up with it.
Kerry
In your case there are more DS surgeons in NY and some of them may also be able to get the job done. But Dr. Greenbaum is one of the best there is; he studied under and with the best; the Rabkins in San Francisco. I assume you've been to www.dsfacts.com and know you can find all the DS surgeons in any state there?
Knowing what I know now; it just makes me feel ill when I see so many people getting RNY. After 28 years of all the crap associated with my RNY, I seriously had forgotten what it's like to just be able to eat like a normal person. When I first got the RNY, it wasn't a big deal, I lost the weight and was thrilled about that and didn't mind all the other crap that came with the weight loss. But over time, the crap just builds and builds; it wears on you and after 10 or 15 years, I really came to despise what had been done to me.
I know I'm not telling you anything you don't already know all about. I am telling you that I understand completely and sympathize with you about having to put up with all the crap. I wish no one had to put up with it.
Kerry
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